| NPI | 1821264052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD CARROL Member Owner 702-838-0604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NV 8160) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |